Individual provider Active NPI

Mohanjit K Gill, NP

  • Nurse Practitioner
  • Waukegan, IL
National Provider Identifier
1619371267
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.011897 Issued in IL
Practice address
1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone
(630) 874-9294
Fax
(630) 968-1622
NPI assigned
Oct 10, 2014
Last updated
Oct 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.011897 IL Primary

Addresses

Primary practice location

1324 N Sheridan Rd
Waukegan, IL 60085-2161

Mailing address

3000 Woodcreek Dr
Suite 200 B
Downers Grove, IL 60515-5401
Phone (630) 874-2994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141201002123 IL Practitioner - Nurse Practitioner 7719209774 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cermak Medical Group LLCGroup PAC ID 7113269242, 21 clinicians

Practice addresses (Care Compare)

5741 W Cermak Rd
Cicero, IL 60804-2129
Phone (708) 222-0100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
209.011897ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Aug 1, 2022 Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 4, 2022 Accepting new patients
Rush University Medical Group CurrentSince Mar 1, 2022 Accepting new patients
Cep America - Illinois, LLP CurrentSince Oct 1, 2016 Accepting new patients
TT Medical Group LLC CurrentSince Dec 1, 2022 Accepting new patients
The University of Chicago Medical Center CurrentSince Mar 4, 2022 Accepting new patients
Cermak Medical Group LLC CurrentSince Dec 1, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Apr 21, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Apr 21, 2025 Accepting new patients
University of Chicago CurrentSince Mar 4, 2022 Accepting new patients
Valley Emergency Care Management, Inc. CurrentSince Oct 15, 2020 Accepting new patients
Cepamerica Illinois LLP CurrentSince Oct 1, 2016 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

75 Remittance Dr
Dept 1611
Chicago, IL 60675

5741 W Cermak Rd
Cicero, IL 60804
Phone (708) 222-0100

741 S McHenry Ave
Ste Cd
Crystal Lake, IL 60014
Phone (630) 533-4038

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

300 Randall Rd
Geneva, IL 60134
Phone (630) 208-4009

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

1669 Algonquin Rd
Rolling Meadows, IL 60008
Phone (847) 310-3211

Interoperability endpoints

  • Direct secure messaging: mgill188962@direct.rush.rush-health.com
  • Direct secure messaging: mgill224982@uchospital.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1619371267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WOODCREEK DR",
            "address_2": "SUITE 200 B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155401",
            "telephone_number": "630-874-2994",
            "fax_number": "630-968-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N SHERIDAN RD",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600852161",
            "telephone_number": "630-874-9294",
            "fax_number": "630-968-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MOHANJIT",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.011897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

Verify at the official NPI Registry.